Active NPI
Addiction Wellness Center WV LLC
- Nurse Practitioner
- Comfort, WV
National Provider Identifier
1609710235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ADDICTION WELLNESS CENTER WV LLC
- Practice address
- 129 Deanna Street
Comfort, WV 25049 - Phone
- (540) 655-2936
- NPI assigned
- Apr 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Sagi
- Title
- Coo
- Phone
- (540) 655-2936
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
129 Deanna Street
Comfort, WV 25049
Mailing address
1100 Business Pkwy S Ste 1
Westminster, MD 21157-3048
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1609710235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 BUSINESS PKWY S STE 1",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211573048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 DEANNA STREET",
"city": "COMFORT",
"state": "WV",
"postal_code": "25049",
"telephone_number": "540-655-2936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADDICTION WELLNESS CENTER WV LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-15",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "SAGI",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "540-655-2936"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Comfort, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.